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Workers' compensation employer defense

When a worker has an injury, all US states have a structure of laws designed to provide multiple benefits to that injured worker. These laws are referred to as workers’ compensation and the laws define the benefits, identify all of the parties, and dictate the manner and method for dispensing such benefits. Since every employee, by definition, must work for some employer, when there is a dispute over the benefits or the injury itself, these two primary entities find themselves in conflict within the system. These controversies are thereafter resolved through either negotiation or trial, and the practice of representing the employer side is referred to as workers’ compensation employer defense.

Examples

The system itself involves billions of dollars in payments per year and involves a broad spectrum of a sub-communities of different and often conflicting interests and individuals

For example, the major entities in most US state systems are:

Judges

Lawyers (for both sides)

Insurance company claims examiners

Third party administrators for self insured employers and their examiners

Injured workers (employees)

Employers

Doctors and various medical providers

Bill collectors for the doctors and other providers

Interpreters

Court reporters

Photocopy companies

Private investigators

Bill reviewers

Professional reviewers of requests for medical treatment

Expert witnesses

The attorneys who regularly perform this kind of work do so with such frequency that their practice becomes specialized, and states have endeavored to acknowledge and control this focus by certification or licensing of the practitioners as designated specialists within the field, after appropriate education, time and successful testing has been accomplished.